MEDICARE: MAHIR BHAGAT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	308799	CA

General Provider Information

NPI Number	:	1750236006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHIR BHAGAT DPT

Provider Business Mailing Address
First Line	:	3667 KEYSTONE AVE APT 130
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11461 W WASHINGTON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-6025
Country	:	US
Telephone Number	:	424-543-4336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ MAHIR BHAGAT DPT” Practice Location

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